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妊娠和早期母婴经历在被诊断为妊娠性乳腺癌的女性中。

The experience of pregnancy and early motherhood in women diagnosed with gestational breast cancer.

机构信息

Cancer and Palliative Care Research and Evaluation Unit, The University of Western Australia (M507), 35 Stirling Highway, CRAWLEY, WA 6009, Australia.

出版信息

Psychooncology. 2012 Jul;21(7):754-61. doi: 10.1002/pon.1970. Epub 2011 Apr 5.

DOI:10.1002/pon.1970
PMID:21472889
Abstract

OBJECTIVE

To explore the psychosocial experiences of pregnancy in women diagnosed with breast cancer during or shortly after pregnancy.

METHODS

A retrospective qualitative design was employed. Fifteen women who had received a gestational breast cancer (GBC) diagnosis participated in semi- structured interviews. The interviews sought to identify the emotional and social issues related to the experiences of pregnancy and motherhood in women diagnosed with gestational breast cancer.

RESULTS

Women diagnosed with GBC experience difficulties in adjusting to two different and conflicting life events; the threat of their breast cancer alongside the news of their pregnancy. They have to make difficult decisions that impact on their own life, the life of their foetus/new baby and that of their existing family. Women who received a GBC diagnosis reported high levels of anxiety and stress, which pervaded their whole GBC experience. Women reported their anxiety was linked to the conflict between the concern for their baby's health and the concern for their own health and wellbeing.

CONCLUSIONS

Women diagnosed with GBC attributed different meanings to their experience of pregnancy and motherhood and made choices based on their own beliefs, values and how complete they believed their family was.

摘要

目的

探讨妊娠期间或妊娠后不久被诊断患有乳腺癌的女性的妊娠心理社会体验。

方法

采用回顾性定性设计。15 名被诊断为妊娠性乳腺癌(GBC)的女性参加了半结构化访谈。访谈旨在确定与被诊断为妊娠性乳腺癌的女性的妊娠和母性体验相关的情绪和社会问题。

结果

被诊断为 GBC 的女性在适应两个不同且相互冲突的生活事件方面存在困难;一方面是乳腺癌的威胁,另一方面是怀孕的消息。她们必须做出影响自己、胎儿/新生儿和现有家庭生活的艰难决定。被诊断为 GBC 的女性报告说她们感到高度焦虑和压力,这些焦虑和压力贯穿于整个 GBC 经历。女性报告说,她们的焦虑与对婴儿健康的担忧和对自身健康和幸福的担忧之间存在冲突。

结论

被诊断为 GBC 的女性对自己的妊娠和母性体验赋予了不同的意义,并根据自己的信仰、价值观以及她们认为家庭的完整性来做出选择。

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